Hospital Medicine

Gynecologic Oncology

Questions discussed in this category

What strategies do you find helpful in advanced care planning with patients/families who are very "miracle" centered?

For example, prolonging life-sustaining measures as they "wait for a miracle" of an unrealistic outcome.

1 Answer available

For patients on immune checkpoint inhibitors presenting with chest pain, dyspnea, fatigue, and troponin elevation, would you recommend early initiation of high dose steroids for empiric treatment of ICI myocarditis while pursuing workup with coronary angiogram, echocardiogram, and/or cardiac MRI, or wait until alternative etiologies have been ruled out?

2 Answers available

Would you give pentoxiphylline and vitamin E during HBO for vaginal necrosis?

1 Answer available

What is your institutional approach to a restrictive “neutropenic diet”?

3 Answers available

How do you manage rectal or bowel perforation from interstitial brachytherapy needles?

2 Answers available

How do you approach a medically inoperable patient with clinically stage 2 grade 1 endometrioid endometrial carcinoma with heavy vaginal bleeding that is refractory to EBRT and requiring inpatient management with transfusions?

1 Answer available

How should you manage a COVID-19 infected/suspected patient who is receiving chemotherapy and cannot interrupt or delay their cancer treatment?

2 Answers available

What is your protocol for conscious sedation during T&O insertion?

What are your specific protocols for monitoring and for dosing narcotics and sedatives?

2 Answers available

Papers discussed in this category

Lancet Oncol., 2020 Feb 14

Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China.

Ann. Oncol., 2020 Mar 26

Clinical characteristics of COVID-19-infected cancer patients: A retrospective case study in three hospitals within Wuhan, China.

Journal of hospital medicine, 2018-08-01

Things We Do For No Reason: Neutropenic Diet.

Front Oncol, 2022 Mar 09

Neutropenic Diet Cannot Reduce the Risk of Infection and Mortality in Oncology Patients With Neutropenia.

BMJ Support Palliat Care, 2022 Jul 08

Neutropenic versus regular diet for acute leukaemia induction chemotherapy: randomised controlled trial.

Nutr Cancer, 2019 Oct 12

Lack of Efficacy of the Neutropenic Diet in Decreasing Infections among Cancer Patients: A Systematic Review.

Eur Heart J, 2022 Nov 01

2022 ESC Guidelines on cardio-oncology developed in collaboration with the European Hematology Association (EHA), the European Society for Therapeutic Radiology and Oncology (ESTRO) and the International Cardio-Oncology Society (IC-OS).

JACC CardioOncol, 2022 Dec 20

Immune Checkpoint Inhibitor Myocarditis Treatment Strategies and Future Directions.

J Am Heart Assoc, 2020 Jan 21

Immune Checkpoint Inhibitor Myocarditis: Pathophysiological Characteristics, Diagnosis, and Treatment.

Circulation, 2020 Jun 15

Major Adverse Cardiovascular Events and the Timing and Dose of Corticosteroids in Immune Checkpoint Inhibitor-Associated Myocarditis.

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